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Psych Mental Health Exam II Study Guide
Psych Mental Health Exam II Study Guide
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Psych Mental Health Exam II Study Guidewhat is the first intervention done when treating any psych/mental health disorder? -
ANS-establishing patient safety: provide a safe and stable environment by creating a
predictable environment
what are 3 examples of relaxation techniques used in the treatment of PTSD -
ANS-deep breathing, mindfulness, and visualization
why are relaxation techniques so helpful in the treatment of PTSD? - ANS-because it
helps calm the patient and counteracts the activation of the sympathetic nervous system
by triggering the rest side of the parasympathetic nervous system
other nursing interventions implemented for the patient with PTSD besides providing a
safe environment? (6) - ANS-- relaxation techniques
- use art and play to promote child expression of feelings
- involve parents or caretakers in 1:1s unless they are the perpetrator
- educate the child and family about grief process and trauma response
- assist parents in resolving their own emotional distress about the trauma
- coordinate with social work for protections as indicated
foods to avoid when on MAOIs? - ANS-foods rich in tyramine: any aged, fermented or
spoiled meats, avocados, figs, bananas in large amounts, all cheeses
why should the patient on MAOIs go to the ED when they have a headache? -
ANS-because a severe headache can be indicative of the onset of a hypertensive crisis
after MAOIs are stopped, instruct the patient that dietary and drug restrictions should be
maintained for how many days? - ANS-14 days
with what meds is the patient at risk for developing serotonin syndrome? - ANS-SSRIs
and MAOIs especially mixed together
what are the 3 common s/sx of serotonin syndrome and neuroleptic malignant
syndrome? - ANS-hyperexia, tonic rigidity, impaired cognition (hot, stiff, and out of it)
what are the 3 interventions done when the patient is suspected to have serotonin
syndrome? - ANS-1. remove all offending agents (stop all serotonin containing
medication)
, 2. initiate cooling measures
3. call 911 and get pt admitted to acute care setting
with what meds is the patient at risk for developing neuroleptic malignant syndrome? -
ANS-first generation antipsychotics
how do we differentiate serotonin syndrome and neuroleptic malignant syndrome? -
ANS-assess the offending agent!! the signs and symptoms will be very similar but
whether it is caused by serotonin overdose or type 1 antipsychotics will allow us to
differentiate
who gets informed consent for ECT? - ANS-only the psychiatrist performing the
procedure; the nurse does not, and cannot, have this responsibility
what are the indications for ECT treatment? (5) - ANS-- patient is severely
malnourished, exhausted, and dehydrated due to lengthy depression
- when medication treatment is not indicated due to patient having certain medical
conditions (EX: pregnant)
- delusional depression
- previous failed medication trials
schizophrenia and catatonia
describe the procedure of ECT? - ANS-a therapy used to treat depression that works by
inducing brief, mild seizures (30-60 seconds) and intends to work by disrupting the
network within the brain that is construing depressive thoughts
what is the typical treatment course length of ECT? - ANS-2-3 treatments per week for a
total of 6-12 treatment
what is one common complication of ECT? - ANS-retrograde amnesia (however the
amnesia is normally transient and lasts for a short time only)
what is the biggest drawback of ECT treatment? - ANS-accessibility and cost
what is the common blackbox warning on all antidepressant medications? -
ANS-increased suicidal ideations, especially within the first two weeks of treatment
why is it that antidepressant medications can increase suicidal ideations? - ANS-due to
the increased mood and energy that the patient has; they may have the energy to
formulate and carry out a plan
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